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New York rates for HCPCS L8628

Cochlear implant, external controller component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.66 / $634.33 / $1,174.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.66 / $643.04 / $918.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.63 / $1,486.78 / $2,915.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.50 / $1,092.50 / $2,508.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.41 / $1,214.42 / $1,214.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.42 / $1,214.42 / $1,214.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $843.35 / $843.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.85 / $716.85 / $843.35
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,457.63 / $3,279.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.00 / $1,093.22 / $2,655.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.38 / $1,106.38 / $1,106.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.34 / $931.12 / $1,214.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $843.35 / $1,457.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.85 / $843.35 / $2,171.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.54 / $1,799.54 / $1,799.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.80 / $897.78 / $1,336.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.34 / $876.34 / $876.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.34 / $876.34 / $931.12